Pat writes:

Mom: "My  son had trouble latching because he was tongue tied...and I 
couldn't feel any  pain :( so overall it was very difficult, I'd like very much 
to breast feed  this time, especially because I don't know if I'd have the 
time to pump 8  times a day."  

Pat: Feeling very dumb here, I didn't know he was  TT.   You can be sure 
I'll be checking newborn immediately this time  around. I honestly don't see 
why BF won't work, as long as no TT and latch is  OK.
~~~ Hello Pat and all,
 
I wonder if there might be some brainstorming now on things  she might be 
willing or have the knowledge to do differently this time, even if  the 
issues were similar: for instance, if the baby had a TT and that was  the issues, 
does that mean the TT was never treated? Would she be willing  to seek 
evaluation and treatment this time with this baby, if the same  issue occurred 
since that might make a big difference in the outcome. If  the TT was treated 
but it didn't seem to help, would mom consider  some appropriate bodywork 
to help baby move into more effective  movement patterns for latching on/ 
feeding? Even without a pain cue,  babies who are struggling with tongue tie 
issues that manifest as difficult  or impossible latching on, probably are 
giving cues that mom could  learn, such as looking at the nipple shape after 
feeds, or seeing that baby  is not satiated/is very frustrated after nursing 
attempts and that  could also help her know what could be helpful this time 
around? And to answer  the mom's question: perhaps letting her talk with 
another mom or two ( who have  good information/nonjudgemtal people skills) 
whose babies had TT but  then took steps she may not have taken last time, could 
help her be open to  another approach this time. It looks (from this very 
limited perspective) that  the TT is more the issue than the breast 
reduction, but she isn't seeing  that...

Just some thoughts,
Peace,
Judy, and Thanks for all the CBI work!   

Judy LeVan  Fram, PT, IBCLC, LLLL
Brooklyn, NY,  USA
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